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AJPH First Look, published online ahead of print Apr 1, 2008
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AJPH.2007.120329v1
98/5/787    most recent
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May 2008, Vol 98, No. 5 | American Journal of Public Health 787-792
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.120329

COMMENTARY

Intervening to Reduce Inequalities in Infections in Europe

Jan C. Semenza, PhD, MPH and Johan Giesecke, MD, PhD

The authors are with the Unit of Scientific Advice, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.

Correspondence: Request for reprints should be sent to Jan C. Semenza, Unit of Scientific Advice; European Centre for Disease Prevention and Control (ECDC); Tomtebodavägen 11A; S-171 83 Stockholm, Sweden (e-mail: jan.semenza{at}ecdc.europa.eu).

The European Centre for Disease Prevention and Control was founded in response to newly emerging infections such as severe acute respiratory syndrome and avian influenza. However, Europe faces other communicable disease challenges that have proven to be remarkably resilient to public health interventions.

We present examples of communicable diseases with inequitable distribution among those with poor educational attainment, low income, or other socioeconomic factors in every European country. Because these findings are incompatible with social justice and fairness, we examine strategic interventions targeting upstream causes of communicable disease transmission keeping in mind 10 indispensable public health functions essential to reach marginalized groups.

These interventions have to be tailored to the socio-political context and rely on community-based decision-making and intersectorial collaboration.




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Home page
 Am. J. Public HealthHome page
J. C. Semenza, J. Suk, and D. Manissero
INTERVENING ON HIGH-RISK OR VULNERABLE POPULATIONS?
Am J Public Health, August 1, 2008; 98(8): 1351 - 1352.
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